| NPI | 1043613821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE LYNN KANAS Director 813-281-7184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 930000150) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2019-04-17 |